The Fertility Focus Telesummit is underway. but there is still time to join in!

The second interview of the Fertility Focus Telesummit was mine, on how “Creating an Effective Support Network Can Make All the Difference When Trying To Conceive.” I’m really excited by the response I have had, with many listeners emailing me afterward to thank me and/or tell me that what I shared really resonated with them. The Telesummit is completely free to listen to the live presentations, and the replays for 24 hours after each interview. If you didn’t know about it before, it’s not too late to get involved.

The 2nd Fertility Focus Telesummit, created and moderated by Sarah Holland, is running this week.  Twelve fertility experts from around the world, and 3 fertility bloggers, are speaking throughout the week on various aspects of fertility health and support.  Sarah started things off on Sunday, the 20th of March, with an introduction to the Telesummit and an explanation of how to get the most out of it.

Yesterday, Monday the 21st, saw the first two interviews; Dr Marion Glenville spoke on the nutritional aspect of fertility health, giving much of her hour-long presentation over to listeners’ questions and providing really comprehensive responses.  The second interview of the evening was mine, on how “Creating an Effective Support Network Can Make All the Difference When Trying To Conceive.”  I’m really excited by the response I have had, with many listeners emailing me afterward to thank me and/or tell me that what I shared really resonated with them.

The Telesummit is completely free to listen to the live presentations, and the replays for 24 hours after each interview. If you didn’t know about it before, it’s not too late to get involved.  Click here to register for the Fertility Focus Telesummit FREE!  You can listen live, and submit questions for each of the speakers, or listen at your leisure to the recordings afterward.  If you are really busy this week and know you won’t be able to listen in, OR you just want to have all 17 audio files to refer to over and over, Sarah provides the option of upgrading to a Golden Ticket so you can purchase the whole Telesummit’s talks, which will be emailed to you as an MP3 file afterward. This is an incredible value, this week only while the Telesummit is running, at US$67, including several bonuses. You can find all the information at the Telesummit website.

Because I’m a bit late in letting you know about the Telesummit and my own presentation on creating a support network, I’d like to share some of that information with you here.  Having been through several challenging years of recurrent miscarriage and secondary infertility myself, I have the benefit of hindsight telling me that I really could have coped far better if I had been more proactive about getting myself, and my husband, the right balance of emotional and practical support.  Infertility put a big strain on our marriage, and I felt very alone and fearful that I would not be able to have the children I had always dreamed of having.  We are fortunate to have come through those rough times, and to have our two children.  Using my training and experience as a fertility coach, I have developed a system to help each of my clients create a support network for their unique needs, thus easing their experience of infertility and efforts to conceive and helping them to feel less isolated and stressed.

During the call, I explained:

  • Why infertility support is so important;
  • The 5 most essential types of support every infertile person needs;
  • Why your partner is not always the best source of support;
  • How you actually create your personal support network;
  • What you can do is someone you expected to be supportive has turned out to be the opposite; and
  • How to maintain a really effective support network over a long period of time.

I’m also offering a Free Bonus to Callers from the Telesummit! I’ve created a comprehensive Worksheet that takes you through the process of creating your own infertility support network, step by step. So, if you haven’t already registered, don’t let this opportunity pass you by.

I’m listening to the other speakers throughout the week myself. I have to say, I’ve been very impressed so far. I’ve learned a lot already from both Dr Glenville and Andrew Loosely, Acupuncturist and Chinese Herbalist. Other expert speakers during the week include Sarah Holland on using EFT for conception, Kristin Hayward, Zita West, Gabriela Rosa, Toni Weschler, Sue Dumais, Nicola Smuts, Deirdre Morris and Cindy Bailey. Then, you can listen to talks from 3 prolific bloggers, including the authors of “From IF to When,” “Eggs and Sperm” and “Survive and Thrive.” I’m really looking forward to the rest of the week.

How do you begin again after a miscarriage or failed IVF cycle?

How do you begin again?

After a miscarriage or failed IVF cycle, there is the inevitable question hanging in the air: Are we going to try again? It may be a given that you still want a baby, however the criteria for whether you are going to try to conceive and carry a pregnancy will have been affected by the recent lack of success with IVF, or the terrible end of your pregnancy. Whether you are on your own, or with a partner, the criteria you use to make your decisions may have changed and need to be looked at again.

If you are on Twitter, or you follow some of the infertility blogs, you may be familiar with some of the abbreviations used by women who are trying to conceive and have a baby. One that frequently tears at my heart is BFN:( . It means “big fat nothing,” as in not pregnant this month.  You examine and re-examine the dates on the calendar, plan your activities around the possibility that you might be pregnant by then, and spend money on pregnancy tests that you know are going to come out negative.  You may also have experienced the elation of finding out you were pregnant and whispering it to the chosen few you trusted to support you through those intial, very secretive and exciting days, only to have to return to them weeks later and explain that the pregnancy was over.

How do you begin again?

After a miscarriage or failed IVF cycle, there is the inevitable question hanging in the air: Are we going to try again? It may be a given that you still want a baby, however the criteria for whether you are going to try to conceive and carry a pregnancy will have been affected by the recent lack of success with IVF, or the terrible end of your pregnancy. Whether you are on your own, or with a partner, the criteria you use to make your decisions may have changed and need to be looked at again. You must consider your current health, age, fitness, need for medical intervention, financial position, other commitments and your doctor’s advice. Assuming that you have decided that you do want to try to conceive again, naturally or with assisted reproduction techniques, the next set of decisions will be about when you begin trying.

Your timing

“When can I try again?” is one of the first questions that will come up in a woman’s mind once she has determined to pursue another pregnancy. Opinion, even among medical professionals, varies. Some doctors will say that, all being well, 3 months is a good amount of time to wait after a miscarriage. Others will suggest that an otherwise healthy patient wait until after she has had one menstrual period before trying to conceive. I believe that readiness is a combination of having had a check-up by the doctor or nurse a few weeks after your miscarriage or IVF procedure, feeling well in yourself physically and determining that you and/or your partner are both emotionally prepared to take the risk again. Why do I use that word “risk?” While many women go on to achieve a healthy pregnancy after a miscarriage, and IVF can certainly be successful on a subsequent attempt, there is a risk that they will not be successful. Can both of you gather all your resources together and steel yourself against that possibility or do you feel painfully vulnerable?

Are you up to it?

Miscarriage and fertility treatment are both hard on the body and can cause you to feel physically depleted.  This is exacerbated by the emotional toll that they take. It isn’t unusual for a woman to feel that she wants to, or has to, jump right back in and try again and simultaneously think that going through this process again is the last thing in the world she wants to do at that moment. Have you ever felt torn in that way? The reason for this dichotomy can be that you have not recovered fully and need to build up your strength and stamina. It may be worth asking your GP for a once-over health check, paying attention to your appetite, sleep, energy levels and hormone levels.

Your emotional wellbeing

It could also be that you are putting on a front, trying to fool yourself and others about how you are really coping. What you say and what you truly feel must be congruent, or the result could be additional stress, sleepless nights and high emotion.  There may be no doubt that you want a baby, but being pregnant may be another matter entirely. Do you feel resilient; as if you have been able to pick yourself up, put your disappointment aside and look forward to the future? Or, do you feel fearful or hopeless? Your thoughts will affect your behaviour and very possibly, your outcome.

If you are trying to conceive, while simultaneously thinking that it will never happen, or that it will end disastrously, you are draining your positive energy away from your goal. You are literally telling your body, that it will not function the way it is meant to do and reinforcing that message every time you let your mind obsess in this manner. Ovulation does not occur in a vacuum; it is dependent upon signals from your brain to your ovaries. Additionally, the stress caused by negativity has been known to interrupt reproductive function, which may affect your periods, ovulation, fertilisation and/or implantation of the embryo.

Your negative thoughts, sadness, anger and stress are all understandable responses to either a miscarriage or the disappointment of a failed IVF cycle. How quickly you move through various feelings or thought processes to a state of readiness is unique to your circumstances and how you respond. You may feel conflicting emotions and be confused as to whether you are ready to try to conceive again. If so, a fertility coach can help you isolate your feelings about your miscarriage or IVF experience. This can help you prevent or reverse the spill-over into your abilities, body, medical treatment, relationship and future.

Are you both ready?

It isn’t unusual for two people in a relationship to have different ideas about whether they are ready to try to conceive again. On the one hand, the woman may (erroneously) believe that the previous attempt is her fault and feel the need to make up for it or prove herself. She may be itching to try immediately, in contrast to her partner’s more measured approach. Even if this self-blame is not present, she may feel there isn’t any time to waste. Only she can truly know how strong and physically healthy she feels, so her partner is reliant upon the information she provides.  A partner may be concerned about her health and want to ensure the safety of a subsequent attempt to conceive.  On the other hand, I have had female clients whose partners want to sweep it all under the rug and move forward as if nothing has happened. She may be unready; lacking in self-confidence and feeling unsupported.

Marriages have broken down from the stress of trying to conceive. One party may feel less committed to the idea of having a child than the other, so that when the disappointments, difficulties and costs are tallied up, they decide that they don’t want to put everything into the attempt.  The sacrifices necessary to divert money from other dreams to fertility treatment may be more than one is willing to make. To contemplate trying to conceive only for your partner’s sake, or while you are unsure, will only add to the stresses you will have to endure.

The best advice I can give any couple in this situation is to talk. Be open about how you feel, what the loss meant and how you want to proceed now. If either of you are unable to communicate effectively without someone teasing the words out of you, get someone to act as a facilitator. A good fertility coach will help the two of you say what you really think and feel; not imposing her own ideas or taking sides. Perhaps a joint visit to your GP or gynaecologist will help the two of you find mutual ground.

Just knowing when it’s right

As quickly as it came over, an emotional cloud can lift. A new day, an overheard inspiring word, reassurance from someone you trust or just some release inside of you; any of these can shift how you feel about beginning the process of conception over again.  You may not be able to explain it to someone else, but you just know you are ready.  If trying again feels right and you can maintain that feeling for a few calm days (no roller-coaster emotions and changing of mind), trust your instincts. Only you can know for sure.

Lisa Marsh is the owner of Your Great Life, a fertility coaching and advocacy business in Stanmore, North London. She also writes for her own blog; http://yourgreatlife.typepad.co.uk.   You can follow her on Twitter @yourgreatlife. Contact Lisa for individual or couples fertility coaching, via phone or office visits, or to find out about educational workshops on fertility issues from menstruation to menopause: Tel #011-44 (0)20 8954 2897 or email lisa@yourgreatlife.co.uk

Hypnosis and Fertility

Hypnosis is a natural state that we all enter daily. It’s those times when your imagination is active, so watching a film or reading a book. If you are immersed in the story and your imagination is involved that is hypnosis. You are completely in control and free to leave it at anytime. Our subconscious does not know the difference between our imagination and reality so we can use our imagination to access the subconscious and create what we want in our lives.

Using hypnosis is a great way to address fertility, because we can access our imagination and address what is going on in our subconscious. For example we may have spent years trying not to get pregnant, our subconscious may not have caught up with our new plans to start a family so using the imagination we can show the subconscious what we really want and it can catch up. This then supports our body to conceive.

We may often have negative thoughts running through our minds, worry creating more worry and affecting our well-being. Our negative thoughts can affect our hormonal balance but with hypnosis it is possible to bring them back to a healthy equilibrium therefore supporting conception.

Fertility Solutions hypnosis CDs have been developed by Tracy Holloway (a qualified hypnotherapist and renowned fertility specialist) in order to prepare the subconscious mind for conception. The powerful CDs begin with deep relaxation; this prepares your mind for suggestion and supports you to release stress. Once you have listened for at least a week to the first CD you can move on to the next. Each one brings you relaxation and prepares the body for conception. Some are designed specifically for those who are planning to conceive naturally, others support assisted conception and there are also CDs for those who have experienced miscarriage and fear their body cannot support a healthy baby.

These powerful CDs go hand in hand with the Fertility Solutions Programme but can also be very effective in their own right.

Pregnancy after Miscarriage – Anxiety, Expectations and Hope

So, you’re pregnant again after a miscarriage.  You may have let nature take its course, or gone through another cycle of assisted conception.  Either way, you have achieved your goal, and it was supposed to feel like a triumph, worthy of celebration.  But, now that you are there, how do you really feel about it?

 Start at the beginning – Women, who are trying to become pregnant after having experienced one or more miscarriages, often express desperation to become pregnant again and then experience a huge range of emotions about this next pregnancy, including everything from hopeful but mildly worried, to terrified. Because I often work with women who are still feeling the emotional, and even the physical, effects of their loss, we tend to focus on making sense of facts and recognizing feelings: shock, grief, guilt, blame, loss of hope and confidence. I like to go back and work through her expectations around that previous pregnancy. Then, it is easier to understand the reason for, and the depth of, her feelings about her miscarriage and gain some degree of closure. 

 Shattered dreams, plans and self-esteem – For example, especially if it was a woman’s first pregnancy, the pictures in her mind of how that pregnancy would unfold will have shattered.  She may have spent considerable time, even in the short period of a first trimester pregnancy, falling in love with her baby.  If it was an unexpected pregnancy, she may have had to come around to the idea and begun making mental adjustments to the unfamiliar territory of motherhood. Perhaps she focused on romantic daydreams of herself and her partner experiencing a new, intimate connection with each other over her swelling, pregnant belly.  So, on top of her grief over the baby she will never know, she could also be missing the specialness of that imagined, future time in her relationship.  He may or may not be aware of that aspect of her emotional response to the miscarriage. She may also have expected the pregnancy and her child’s birth to transform her in some way: to give her more significance: mother, mother of his baby, mother of someone’s grandchild, part of the “club” of friends who are mothers, or on the same level as her sisters who have children. Not only could miscarriage mean she had failed in her own eyes, she could perceive that she is a failure in the eyes of others, even when it isn’t true.

Walking on Eggshells – What happens to this couple when they are fortunate to conceive again? In my experience, no matter how often a woman reads or hears that many couples go on to have a healthy, full-term baby after experiencing miscarriage, there is a lot of walking on eggshells in a subsequent pregnancy.  If she excitedly discussed her previous pregnancy with family, friends and colleagues, she may not even tell anyone she is pregnant again. To some extent, it is impossible to suspend fear entirely because we have the negative memories of having placed our trust in God, medicine or both and it resulting in enormous pain.  In the new pregnancy, that trust is somewhat reduced in all except those who have absolute, blind faith that a Higher Power will deliver what is meant to be. The need to exert control over something that is largely out of our control is all so understandable, and at the same time, such a shame because it means that she will experience less unreserved joy.

Achieving a Deeper Level of Understanding – In trying to support a woman through this next pregnancy, I believe that the best route is to go back to the basics: her identity, her values, what she wants out of life, her level of satisfaction with all aspects of herself and her lifestyle, sorting out her wants from her needs, and measuring her competing interests. To each of these areas, I would ask her to reflect upon how any of them was changed by her experience of miscarriage and finally, to anticipate how they will be changed by having the child she now carries.  The progression of the coaching process will reveal, layer by layer, how deeply she believes in herself, where her strength lies and how she will use it, no matter what lies ahead.  Those are the qualities that will make her a good mother and provide them both with a great life. 

Self-Coaching – If you want to do this for yourself, I suggest that you buy a journal with lined paper and set it up for a self-coaching process by putting each of the categories (previous pregnancy, miscarriage, subsequent pregnancy) above at the top of separate pages, with several pages in between each, headed by the sub-categories (ex. Who am I? My values, my aspirations, what I need to be happy, my satisfaction level at the particular time, my strengths, my frustrations, my expectations, how any of this has changed, etc…) Then, write on them at your own pace; whenever a flash of insight occurs, or in purposeful sessions. Don’t worry about your language or whether you are “making sense.” This is just for you. It is not about gaining an explanation for your miscarriage; it is about understanding yourself and what you want, accepting that there are no guarantees in life and opening the door to what is to come.

Supporting Her – This way of going back to the beginning, before the trauma of the loss, can, work for those closest to her as well; encouraging her to talk about her first pregnancy, this one and what makes her to want to become a mother. It is important to pay attention to her signals of being willing, ready and able to talk.  However, you can communicate a state of openness, verbally or through body language.  Looking directly into her eyes will show emotional availability and not expressing any criticism about how she is acting will go a long way toward building trust. Please, don’t ever try to stifle her by saying “Forget about it. Surely it won’t happen again.” You can’t give her any guarantees and may provoke resentment, anger or being misunderstood. She is not looking for you to solve her problems; she may just need you to listen and give sincere comfort.Instead of shutting off those dreams and memories that existed in her with the previous pregnancy, I would encourage them to flow. They are the reason that she is risking her body, heart and mind again.  By remembering and talking about her positive reasons for conceiving and carrying the first baby, she can reach a level of acceptance and underlying strength to move forward into the new pregnancy with renewed courage.  She deserves to embrace and enjoy carrying this child who is, at no other time, more a part of her than right now.

Lisa Marsh is a fertility coach, supporting those who are trying to conceive, experiencing loss, secondary infertility, assisted conception, alternative parenting and loss of fertility through illness, medical treatment and menopause. You can find out more about Lisa’s work by visiting her blog: http://yourgreatlife.typepad.com or contact her directly at lisa@yourgreatlife.co.uk .

Another guest blogger saying hello

Hi, I am Lisa Marsh, of Your Great Life, saying my own hello as a guest blogger. I will be writing from the perspective of someone who has experienced both recurrent miscarriage and secondary infertility in the past. I have been incredibly fortunate to have two healthy children within the seven years of TTC and am not planning to have any more children. I hope that my experience will be inspiring to some of you.

As a direct result of my personal experiences in this area, I went on to train as a life coach and as a miscarriage helpline volunteer. I run a miscarriage support group and find that issues of infertility are entwined with miscarriage, such as PCOS, in the members’ reproductive health. I am now devoting my entire professional practice to fertility clients, starting with TTC and continuing into the loss of fertility due to ageing (menopause), disease and chemotherapy.

I am really looking forward to being a part of this forum. Please give me some feedback on my blogs and let me know what you want to hear about.

How long after a miscarriage does the pregnancy test stay positive ?

I was thinking today about my friend who had the recent miscarriage and wondering how long her pregnancy test will stay positive for after the miscarriage.

 As she is 40 this year, she wants to start trying for a  baby again as soon as possible. Problem may be if she does not have a period before she conceives.  This may cause two problems, dating the pregnancy as she will not know when she ovulated, and also knowing how to interpret a positive pregnancy test.

The pregnancy test can stay positive for some time after the miscarriage due to hcg levels still being elevated in the body. As pregnancy tests these days are more sensitive than they used to be, they can detect even lower hcg levels after miscarriage.  

Many hospitals advise to do a home pregnancy test about 2 weeks after the miscarriage. If the home pregnancy test is negative then it means the hcg levels have dropped and so a positve test after a negative one should mean a pregnancy as long as the same sensitivity of pregnancy test is used at the same time of day (1st morning void).  

I was not able to find an absolute answer on this. It depends on the levels of hcg at the time of the miscarraige and this varies enormously. General advice seems to be to give it at least 2 weeks after the miscarriage for the home pregnancy test to become negative. By then most home pregnancy tests will be negative.

Click here to see home pregnancy tests

Just a thought-if you get pregnant again before you have a period you could use a Clearblue Digital with Conception Indicator to date the pregnancy. If you do get pregnant before you have a period do not worry-the dating scans at the hospital are now very good

A tentative link between exercise and miscarriage has been proposed

Just also found this article from September 2007 while researching miscarriage on the NHS.uk/news website (a very useful site for information on health issues inthe news)

Pregnant women who do strenuous exercise, such as jogging or playing racket sports and ball games, more than treble their risk of miscarriage, newspapers reported.

The newspapers said vigorous high-impact exercise within the first few months of pregnancy was associated with the highest risk of miscarriage. Exercise in the later stages of pregnancy did not affect the risk.

The reports are based on a study on more than 92,000 women in Denmark that looked for a relationship between exercise and miscarriage. The study performed different analyses on the results, which resulted in conflicting findings. As a result, the researchers are themselves cautious about suggesting a link between exercise and miscarriage.

The relationship between exercise and miscarriage has not been proven beyond reasonable doubt by this study.

Click here to read the full article

Caffeine may increase the risk of miscarriage

While I was researching miscarraige on the net I found this article from 22 January 2008 on NHS.uk/news which i thought may be useful to some of you. This may be why so many pregnant women go off coffee & tea

Drinking coffee can double the risk of miscarriage reported The Guardian and many other news sources yesterday. “Pregnant women who consumed two or more mugs of coffee a day were twice as likely to miscarry than those who abstained from caffeine,” The Guardian said. The media coverage suggested that pregnant women may wish to reduce or stop drinking drinks containing caffeine, including coffee and tea.

The newspaper story is based on a study in 1,063 pregnant women in San Francisco. The study found that women who drank more than 200mg or more of caffeine a day – the amount contained in two or more regular cups of coffee or five 12oz (330 ml) cans of caffeinated drink – doubled their risk of miscarriage compared with women who drank no caffeine. However, this study has some limitations, including difficulty in making sure that the results are not affected by other factors that are known to increase the risk of a miscarriage.

Overall, the advice that pregnant women should avoid drinking too many drinks containing high levels of caffeine while they are pregnant seems sensible. Currently in the UK, the Food Standards Agency recommends that women limit their caffeine intake during pregnancy to 300mg a day.

Click here to read the full article

Miscarriage-the facts and where to go for support

I have just googled miscarriage and found a very useful website from the Miscarriage Association with lots of information and support-link below. 

It seems miscarriage occurs in about 1 in 4 pregnancies. In the UK there are approximately 250,000 miscarraiges a year.

Another 1% of pregnancies are ectopic ie the pregnancy occurs in the wrong place-outside the uterus usually in the fallopian tube-we will talk about this another time as that is a whole other subject in itself

Considering how common miscarriage is women do not talk about it that much, so where do you go for information and support. I will put some information below, for more info and support visit the miscarriage association website

When do most miscarriages occur ?

 Miscarriage usually occurs in the first 12 weeks of pregnancy and miscarriages later than this are thankfully uncommon, although they can occur up to 24 weeks. Miscarriage after 24 weeks is called stillbirth.

What causes a miscarriage ?

Usually the cause is unknown which can be very frustrating and distressing for the couple. This does not mean that it is your fault-it is extremely unlikely to be anything that you have done that has caused the miscarriage.

Here is some information I got from the miscarriage association website on the causes of miscarriage :

The main causes of miscarriage are thought to be:

Genetic: In about half of all early miscarriages, the baby does not develop normally right from the start and cannot survive.

Hormonal: Women with very irregular periods may find it harder to conceive and when they do, are more likely to miscarry.

Immunological: Problems within the blood vessels which supply the placenta can lead to miscarriage.

Infection: Minor infections like coughs and colds are not harmful, but a very high temperature and some illnesses or infections, such as German measles, may cause miscarriage.

Anatomical: If the cervix (neck of the womb) is weak, it may start to open as the uterus (womb) becomes heavier in later pregnancy and this may lead to miscarriage. An irregular-shaped uterus can mean that there is not enough room for the baby to grow. Large fibroids may cause miscarriage in later pregnancy

Click here to visit the Miscarriage Association Website

How long should we wait after a miscarriage before trying again ?

There does not seem to be a definite answer to this. Everyone reacts differently to a miscarriage and some may take longer to grieve than others. For some the urge to get pregnant again straight away is very strong.

If you wait until after your next  normal period then this makes dating your subsequent pregnancy easier for medical staff as well as giving you time to come to terms with the loss of the baby and for your body to return to its pre-pregnant state.

According to the miscarriage association there is no evidence to show that when you conceive makes any difference to the risk of miscarriage in the next pregnancy. In most cases, the couple themselves are the best judges of when to try again

The good news is that most women who have a miscarriage go on to have a successful pregnancy next time.

How long after a miscarriage is it ok to try again ?

A friend of mine has just had a miscarriage of a much wanted pregnancy and it set me to thinking about miscarriage, and how long we need to wait before trying again.

 Miscarriage is more common than many people think. When you start to talk to friends you find out that many of them have had this sad experience.

My personal feelings are that I would need to grieve the loss of the baby & give my body  time to get back to its normal pre pregnant state, so I have always felt it is best to wait at least 3 months before trying to conceive again. However for many the urge to try again is very strong, and they start trying alsmost immediately after.

 I will research this and find out what the common consensus of opinion is, and let you know

Do we need new guidelines for how healthcare staff deal with miscarriage ?

An article asking this very question was published today in The Times. It is based on the results and recommendations of an online survey produced by mumsnet (an online resource for parents)

Here are some extrcts from the article:

Insensitive health workers compound the suffering caused by miscarriage, but a Mumsnet campaign aims to change matters

In recent weeks and months Benson, and hundreds of others like her, have been logging on to the parents’ website Mumsnet to chart their experiences of what can seem like the uncaring, insensitive face of the NHS – doctors, nurses, midwives and protocols that appear to take no account of the pain, physical or emotional, involved in miscarriage.

Ten steps to a caring NHS

The Mumsnet recommendations

1 GPs, early pregnancy units (EPU) and A&E staff should be trained in communication techniques (including things not to say to women who are miscarrying).

2 Access to ultrasound scanning facilities in cases of suspected miscarriage should be easier.

3 Women undergoing miscarriage or suspected miscarriage should be separated from women having routine antenatal and postnatal care, and women terminating an unwanted pregnancy.

4 Waiting times, especially for women who need surgery, should be kept to a minimum and women should not have to wait in antenatal or labour wards.

5 The surgical procedure “evacuation of retained products of conception” (ERPC) should be renamed to be less confusing and upsetting.

6 Women having a miscarriage should have the different options explained to them: “natural” miscarriage; medication to speed up the natural process; and surgery.

7 Where miscarriage occurs in hospital, doctors should discuss with the parents what they wish to happen to the foetus (ie, it should not simply be disposed of routinely).

8 Follow-up appointments and/or counselling should be routinely offered after miscarriage.

9 Information about pregnancy and miscarriage should be held centrally so that all pregnancy-related appointments can be automatically cancelled.

10 Consideration should be given to routine blood tests for any conditions that could cause miscarriage.

Click here to read the full article